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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 343618989
Report Date: 04/25/2023
Date Signed: 04/25/2023 05:16:54 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVER CITY (SACTO)CC, 2525 NATOMAS PARK DR. STE.250
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/21/2023 and conducted by Evaluator Arianna Manabat
COMPLAINT CONTROL NUMBER: 03-CC-20230421170319
FACILITY NAME:SAHRANAVARD, FIROOZEHFACILITY NUMBER:
343618989
ADMINISTRATOR:SAHRANAVARD, FIROOZEHFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(916) 730-0811
CITY:SACRAMENTOSTATE: CAZIP CODE:
95835
CAPACITY:14CENSUS: 8DATE:
04/25/2023
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Firoozeh SahranavardTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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9
Lack of Supervision: Reporting Party was unable to see the Licensee in the same room as children for approximately six to eight minutes.
INVESTIGATION FINDINGS:
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 On 04/25/2023 at approximately 3:30 PM , Licensing Program Analyst (LPA) Arianna Manabat met with Licensee to open and deliver findings for the allegation mentioned above. LPA observed 8 children in care being supervised by the Licensee and her husband. It was alleged that there had been a lack of supervision. Through observations and interviews, LPA found that the Licensee will, sometimes, go to the kitchen to bring children food. LPA has also found that the Licensee will help children change in the restroom, which is outside the sightline of the window at the door. Per interviews, it was stated that the Licensee is present, attends to children in the facility, and answers the door within a minute.
According to interviews and observations, many of the children are listening to music or watching videos, which can cause difficulty to hearing the doorbell. Due to this information, LPA has determined the complaint to be UNSUBSTANTIATED, meaning that although the allegations may have happened or is valid, there is not a preponderance of evidence to prove it. An exit interview was conducted and a Notice of site visit and appeal rights were assessed. The Notice of site visit shall remain posted for 30 days for guardian/parental review.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Amanda Blesi
LICENSING EVALUATOR NAME: Arianna Manabat
LICENSING EVALUATOR SIGNATURE:

DATE: 04/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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